Integrating Medical Records: Dryden Family Medicine

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Recommended: Factors influencing adoption of electronic medical records

Introduction

This case study will show how a facility can pay-for-performance stimulate or encourage electronic medical record adoption, also will demonstrate the financial and human resource costs involved in implementing an electronic medical record in a small medical practice versus in a large-scale healthcare system. We will also look at identifying various challenges that are present for small practices in implementing an electronic medical record. As well as focus on the differences from the affects of a large healthcare system.
Pay-for-Performance
Pay-for-performance (P4P) was brought about as a way to tie the provider and Medicare together to measure the performance based on the payment. As one employer coalition spokesperson has stated, “It is our belief that this approach to physician compensation will improve the quality of health care that patients receive and will, ultimately, lower overall costs of care (Christianson 2006). ” The incentive is to get the provider to focus on the patient by providing quality care. The Dryden Family Medicine (DFM) center accomplished the immunization goal by 95 percent in the time allotted. Reaching this criterion at such a fast pace placed them in the number one spot and earned them a nice bonus package. As stated by the New York times “P4P had no visible effects on processes of care or on hypertension-related or clinical outcomes”. As far as any high blood pressure or other types of chronic disease went, P4P had no outcome. There was a stimulus package created to encourage doctors to switch over to EMRs by the year 2015. The total that was allowed by the federal government was $19 billion. It will be up to the doctor or facility, which EMR program would best fit their...

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...orks Cited

Abelson,R. (January 26,2011), Financial Rewards for a Doctor’s Care http://prescriptions. blogs.nytimes.com/2011/01/26/financial-rewards-for-a-doctors- care/?_php
=true&_type=blogs&partner=rss&emc=rss&_r=0
AHRQ, (October 2011), Study identifies costs of implementing electronic health records in network of physician practices, http://www.ahrq.gov/news/newsletters/research- activities/oct11/1011RA15.html
Christianson, J.B, Knutson, D.J, Mazze, R.S, (February 21,2006) GE, Ford, UPS, P&G, Verizon, others back new pay-for-quality initiative for physicians. NCQA News.http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2557129/
Miller R.H, Sim I., (2014) Physicians’ Use Of Electronic Medical Records: Barriers And Solutions, http://content.healthaffairs.org/content/23/2/116.full
Tan, J., Payton, F.C, (2010), Adaptive Health Management Information Systems 3rd edition

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